PMID: 9423917Jan 10, 1998Paper

Etiology of ptosis after cataract surgery

Journal of Cataract and Refractive Surgery
S K SinghS Gupta

Abstract

To determine whether using a lid speculum with a superior rectus bridle suture in cataract surgery results in levator rectus aponeurosis dehiscence caused by strong fascial attachments between the levator and superior rectus muscles. L.V. Prasad Eye Institute, Hyderabad, India. This study comprised 220 patients having cataract extraction with posterior chamber intraocular lens implantation. The patients were randomly assigned to one of two groups. In the first group (n = 108), a lid speculum was used during surgery. In the second group (n = 112), no speculum was used. All patients had a superior rectus bridle suture. The occurrence of ptosis was analyzed by a masked observer who was not involved in the surgery. The incidence of ptosis was significantly higher in the speculum (44.4%) than in the no-speculum (23.3%) group (P = .0009). The results indicate that the opposing forces created by the lid speculum and bridle suture can cause levator aponeurosis dehiscence because of the strong fascial attachments between the superior rectus and levator muscles. The occurrence of ptosis in the no-speculum group implies a multifactorial etiology, however.

References

Mar 1, 1976·American Journal of Ophthalmology·G L Paris, M H Quickert
Jul 1, 1991·Journal of Cataract and Refractive Surgery
Mar 1, 1991·Journal of Cataract and Refractive Surgery
Jul 1, 1990·Journal of Cataract and Refractive Surgery·M LoefflerM Renaud
Sep 1, 1989·Survey of Ophthalmology·E R Rashid, G O Waring
Apr 1, 1989·The British Journal of Ophthalmology·J P DeadyG A Sutton
Jan 1, 1988·Ophthalmic Plastic and Reconstructive Surgery·B N LemkeP N Rosenberg
Mar 1, 1986·Ophthalmology·D M O'DayJ H Elliott
Dec 15, 1986·American Journal of Ophthalmology·R P Carroll, R L Lindstrom
Jan 1, 1987·Archives of Ophthalmology·R D BonhamC E Whitney
Mar 1, 1982·Ophthalmology·M B Shields

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Citations

Nov 17, 2001·Plastic and Reconstructive Surgery·F D ParsaE Elahi aE
Jan 9, 2010·International Ophthalmology Clinics·Audrey E Ahuero, Mark P Hatton
Dec 24, 2009·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Shinji IdetaMakoto Inoue
Jul 26, 2005·Journal of Cataract and Refractive Surgery·Barry N WassermanKaren Nipper
Oct 31, 2016·Survey of Ophthalmology·Petrina Tan, Raman Malhotra
Apr 24, 2016·Facial Plastic Surgery Clinics of North America·Michael G Neimkin, John B Holds
Aug 24, 2002·Eye·J I PatelC Jones
Jan 8, 2005·Korean Journal of Ophthalmology : KJO·Yeon Hee Yang, Hye Bin Yim
Jul 18, 2019·Seminars in Ophthalmology·Victoria Marqués-FernándezAlicia Galindo-Ferreiro
Feb 28, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Gavin W RoddyCheryl L Khanna
Dec 4, 2015·Current Opinion in Ophthalmology·Kyle J GodfreyDon O Kikkawa
Sep 12, 2018·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Yijie WangJuan Ye
Mar 17, 2019·Aesthetic Plastic Surgery·Chia-Chen LeeChung-Sheng Lai
Mar 6, 2021·Eye·Christopher B SchulzWe Fong Siah
May 20, 2020·Ophthalmic Plastic and Reconstructive Surgery·Liza M CohenDaniel B Rootman
Nov 25, 2020·Ophthalmic Plastic and Reconstructive Surgery·Parya AbdolalizadehAhad Sedaghat

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